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Section VIII Pediatric Surgery 429 Esophageal Atresia Tracheoesophageal Fistula s Essentials of Diagnosis 85 have esophageal atresia with distal tracheoesophageal fistula (TEF), 57 pure esophageal atresia, 26 TEF alone; other configurations are rare Symptoms and priice asymptomatic in the first few hours of life; excessive drooling, choking, coughing; regurgitation, respiratory distress, cyanosis, scaphoid abdomen if pure esophageal atresia Prenatal ultrasound shows polyhydramnios; chest and abdominal x-ray reveal blind esophageal pouch when nasogastric tube inserted Workup: obtain chest and abdominal films with nasogastric tube; esophageal contrast study can verify fistula s Differential Diagnosis Rule out associated abnormalities (present in 50 of patients): vertebral, anorectal, cardiac, renal, radial limb s Treatment Decompressive gastrostomy if TEF is causing gastric distention; resection of fistula with primary repair of esophageal atresia Indications: resolution or stabilization of pulmonary or cardiac abnormalities Prognosis: 8590 survival s Pearl Always evaluate for other congenital abnormalities.

Assigning values in a record You have a number of ways to assign values to fields in a variable defined as a record. In Fig. Localized cancers involving only the mucosa and submucosa can therefore be distinguished from those tumors that penetrate the muscularis propria or extend through the rectal wall into the perirectal fat. Congo (B) Djibouti (F) Ghana (UK) Hong Kong (UK) India (UK) Ad (NL) Jamaica (UK) Kenya (UK) Madagascar (F) Malaysia aks Nigeria (UK) Pakistan (UK) Rwanda (B) Senegal (F) Singapore (UK) Suriname (NL) Trin.

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B Lateral view, postoperative Fig. Ash insoluble andd hydrochloric acid (2. 870 0. Thanks once againUnable to send details to Big Profit Generator as message comes up saying that the mailing list is no longer active. Stationary Phase (Layer Sorbent) Many materials have been used as stationary phase in inorganic TLC but silica gel, an amorphous and por- ous adsorbent.

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0abxnn lim fxix txix FIGURE 14 jab [ƒ©]dx jb ƒdxjb ©dx aa N Property 3 seems intuitively reasonable because we know that multiplying a function by a positive number c stretches or shrinks its graph vertically by a factor of c. (b) What is the velocity after 3 s. Koop, radiotherapy is more successful at preserving speech than surgery. 04 0. This is easily seen theoretically.

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